Individual provider Active NPI

Alexa Miller, NP

  • Nurse Practitioner
  • Troy, MI
National Provider Identifier
1336977925
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704404232 Issued in MI
Practice address
4600 Investment Dr Ste 300
Troy, MI 48098-6368
Phone
(248) 267-5000
Fax
(248) 267-5001
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704404232 MI Primary

Addresses

Primary practice location

4600 Investment Dr Ste 300
Troy, MI 48098-6368

Mailing address

4600 Investment Dr Ste 300
Troy, MI 48098-6368
Phone (248) 267-5000

Other practice location 1

4967 Crooks Rd Ste 110
Troy, MI 48098-5812
Phone (248) 267-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023003857 MI Practitioner - Nurse Practitioner 0143753541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arcturus Healthcare PLCGroup PAC ID 7012143118, 63 clinicians

Practice addresses (Care Compare)

4600 Investment Dr
Suite 300
Troy, MI 48098-6368
Phone 24826750003025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcturus Healthcare PLC CurrentSince Sep 1, 2024 Accepting new patients
Arcturus Healthcare PLC CurrentSince Sep 1, 2024 Accepting new patients
Macomb Oakland Adult Medicine PC Current Accepting new patients

Locations

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

4600 Investment Dr
Ste 300
Troy, MI 48098
Phone (248) 267-5000

4967 Crooks Rd
Ste 110
Troy, MI 48098
Phone (248) 267-5000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1336977925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986368",
            "telephone_number": "248-267-5000",
            "fax_number": "248-267-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986368",
            "telephone_number": "248-267-5000",
            "fax_number": "248-267-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4967 Crooks Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985812",
            "country_code": "US",
            "telephone_number": "248-267-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALEXA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704404232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.